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General NPI Number Information
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NPI Number | 1265229082
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Entity Type | Organization
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Legal Business Name | SDF SERENITY HEALTH SERVICES
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 5629 SE NORMANDY AVE
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City | STUART
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State | FL
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Zip | 34997-8559
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Country | US
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Telephone | 561-255-2793
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Fax |
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Provider Business Mailing Address
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Address Line | 5629 SE NORMANDY AVE
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City | STUART
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State | FL
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Zip | 34997-8559
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Country | US
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Telephone | 561-255-2793
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Fax |
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Authorized Official
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Title or Position | DON
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Name | FRANCE CHARLES
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Credential | MS
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Telephone | 561-255-2793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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